Carrier Compliance Jobs in Georgia

Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., ..

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Job Information Humana Compliance Nurse - Conviva - Remote, ... industry as a whole. The Compliance Nurse 2 reviews utilization management ... fraud, waste, and abuse. The Compliance Nurse 2..

ADP is hiring an Implementation Manager. Thanks for clicking! Let us tell you a little more... At ADP, we believe great companies are built by great people -- and for them. ..

... processing of benefits elections. Ensure compliance with all state laws that ... Process accurate and timely year-end compliance reporting. Monitor changes and remains ... distributions, Safe Harbor, and Profit-Sharing..

Job Information Centerwell IT Accounting Specialist in Atlanta Georgia The IT Accounting Specialist will assist the Director of Field Services with cost management of Information Technology expenses. This role will participate ..

Description The Compliance Nurse 2 reviews utilization management ... fraud, waste, and abuse. The Compliance Nurse 2 work assignments are ... appropriate courses of action. The Compliance Nurse 2 will..

Position Summary The Carrier Relations Account Manager I is ... and maintaining relationships with our carrier partners. As a Carrier Relations Account Manager, you will ... establish plans, rates, markets,..

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..

Aon Is Looking For A Health Solutions Specialist- Innovation TeamThis position has openings in the Atlanta, Chicago and Minneapolis offices. As part of an industry-leading team, you will help empower results ..

ADP is hiring a Benefits Market Team Leader. Provides day-to-day leadership and guidance to the Market Benefits Service Representatives (BSRs). Serves as Subject Matter Expert and Market Lead to Payroll Service ..

... Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities ... fraud, waste, and abuse. The Compliance Nurse work assignments are varied ... schedule and overtime. Responsibilities The..

Job Details: SUMMARY: This position will provide Safety leadership and strategic direction by leading the plant s Safety continuous improvement efforts. As an integral member of the Plant Management Team this ..

Aon is looking for an Atlanta Market Leader.  As part of an industry-leading team, the Market Leader will help empower results for our clients by delivering innovative and effective solutions in ..

Compliance Analyst The candidate reports directly ... any changes needed to ensure compliance with firm and insurance carrier guidelines and requirements. Ensures billing ... and requirements. Ensures billing documentation compliance..

... and external sources (e.g., brokers, carrier account mangers, client leadership, etc.) ... data flow and integration including carrier connections, payroll and/or processes manual ... connections, payroll and/or processes manual..

ADP is hiring a Benefits Market Team Leader. Provides day-to-day leadership and guidance to the Market Benefits Service Representatives (BSRs). Serves as Subject Matter Expert and Market Lead to Payroll Service ..

Description The Compliance Nurse 2 reviews utilization management ... fraud, waste, and abuse. The Compliance Nurse 2 work assignments are ... appropriate courses of action. The Compliance Nurse 2 will..

Staff Attorney Duties: Liaison with members of Internal Audit, Business Development, Client Solutions, Human Resources, Project Management, Finance, Operations, Information Technology, and Marketing to advise on legal matters. Create, review, modify, ..

... independentlyStrong negotiation and communication skillsStrong compliance knowledgeAbility to develop and maintain ... knowledgeAbility to develop and maintain carrier/vendor relationshipsKnowledge of market trendsAbility to ... consulting firm, but also consider..

Pilgrim's Pride Corporation employs approximately 40,500 people and operates chicken processing plants and prepared-foods facilities in 14 states, Puerto Rico and Mexico. The Company's primary distribution is through retailers and foodservice ..

Company OverviewnDollar General Corporation has been delivering value to shoppers for more than 80 years. Dollar General helps shoppers Save time. Save money. Every day.® by offering products that are frequently ..

... of expertise required include plan compliance, Request for Proposal (RFP) development, ... (RFP) development, response and oversight, carrier negotiations, stewardship report preparation and ... report preparation and delivery, and..